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HomeMy WebLinkAboutGluckman, Richard • razes=z • OFFOC ELIZABETH A.NEVILLE hyo l/y Town Hall, 53095 Main Road TOWN CLERK t 1 � P.O. Box 1179 ti = Southold, New York 11971 REGISTRAR OF VITAL STATISTICS �� Fax (516) 765-1823 MARRIAGE OFFICER y � Telephone (516) 765-1800 RECORDS MANAGEMENT OFFICER ` P FREEDOM OF INFORMATION OFFICER ;.1 l Ig 'O. •� OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD SOUTHOLD WASTEWATER DISPOSAL PERMIT CONSTRUCTION OR ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. 1934 R Residential X Non-Residential Fee $ 10.00 Septic X Cesspool PERMIT ISSUED TO: Name : RICHARD GLUCKMAN Address 1 : 463 GREENWICH STREET City St Zip NEW YORK NY 10013 Descripton of Proposed Construction or Alteration SANITARY SYSTEM FOR SINGLE FAMILY DWELLING. APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES. REF #8-5-98 Name Of Owner RICHARD GLUCKMAN Mailing Address 1 463 GREENWICH STREET City St Zip NEW YORK NY 10013 Property Address 1 ORCHARD STREET City St Zip ORIENT NY 11957 Tax Map No. section 27.00 block 3 lot 7.008 Cross Street KING STREET Building Permit Number Cross Reference: Issue Date: 9/28/98 Elizabeth A. Neville Southold Town Clerk (TOWN SEAL) ,„ le . 3 • ��,%Sf�FFO�,�� .k 6/ % ELIZABETH A.NEVILLE it h�0 �t�� Town Hall, 53095 Main Road TOWN CLERK % p - % P.O. Box 1179 REGISTRAR OF VITAL STATISTICS �- 1, Southold, New York 11971 MARRIAGE OFFICER Fax (516) 765-1823 RECORDS MANAGEMENT OFFICER -�� a���1� Telephone (516) 765-1800 FREEDOM OF INFORMATION OFFICER :�141 e��� ,•l OFFICE OF THE TOWN CLERK TOWN OF SOUTHOLD TO: Southold Town Building Department FROM: Linda J. Cooper, Southold Town Clerk's Office DATED: September 14, 1998 Transmitted herewith is a copy of application No. 2007 for a Cesspool/ Septic Tank Construction Permit submitted by: Richard Gluckman . Please review the application and location map and advise if the project has received Suffolk County Health Department approval and if this office may issue the permit. Please complete the form below and return it to me. Thank you. Linda J. Cooper * * * * * * * * * * * * I have reviewed the application and location map of the project cited above and make the following recommendations: APPROVE DISAPPROVE Comments: ignatuqg Dated GLUCKMAN MAYNER ARCHITECTS 145 Hudson Street New York NY 10013 tel 212.925.8967 fax 212.941.8352 DATE 9 September, 1998 TO Southold Town Clerk Town Hall, 53095 Main Road P.O. Box 1179 Southold, New York 11971 ATTN Judith Terry PROJECT Gluckman Residence PROJECT NO 98013 REASON Southold Town Clerk application Dear Ms.Terry, As requested please accept the attached application, approved Department of Health survey and check for $10. As I understand, your office will forward on to the Town of Southold Building Department the required Receipt. Please forward a copy to our office as well. Please feel free to call if there is anything further that is needed. Regards, David Pysh rs OI FICE OF THE TOWN CLERK c.0FOLx`+" Town of Southold � Judith T. Terry, Town Clerk J + . 1 Application No. Town Hall, 53095 Main Road ;: ;;;;.. ;, 'Z Construction P. O. Box 1179 Q : � , ' �� Alteration Southold, New York 11971 #1$ Telep p 0,1 Residential (516) 76 d11VED Non-Residential SEP 1 1998 TOWN OF SOUTHOLD SOUthOkriMittleiliLD WASTEWATER DISPOSAL DISTRICT )1,/eq 3 UMol ptomonos 9661. APPLICATION f-cuS for C]AIBO3U CONSTRUCTION or ALTERATION PERMIT SEPTIC TANK or CESSPOOL Permit No. Fee $ /1 DATE 9S27F40ER /9?gr APPLICANT NAME: ,2/Gf/4, [�,Uc,e-A• 4,(l APPLICANT ADDRESS: f!3 y,e.ro5vcA " W ST N%1 /VS/ /00a SEPTIC }C CESSPOOL DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION CCQUS'TEGC 'O t) aiir .a S/ jG, ' /0244/e y latrtZ:vMetg 4/4 PdN,d LOCATION MAP: Must be attached hereto before permit may be issued. LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION: OWNER OF PROPERTY: R'C#4b car-A 40 OWNER MAILING ADDRESS: WS S7: l/S/• /Yy /0.1 /3 OWNER PROPERTY ADDRESS: P0. roe* 'Zeb COi MORA STP-t t) Sour-Noe-4 I WOO y//24 // TELEPHONE NUMBER OF CONTACT PERSON: ZI'Z..2_yZ4'• $96"7 Aov(l=. PAt4 TAX MAP NO. : Section e'24 Block a3 Lot 7.8 CROSS STREET: STR.Gi:ar (,QQoc.) ,trod 2. (2601,6] BUILDING PERMIT NUMBER CROSS REFERENCE:. A4 44a Al Al •nat re of Applicant RECEIVED BY : Town Clerk's Office DATE 1 „'.�-ice SUFFOLK COUNTY DEPARTMENT OF HEALTH SERVICES cf• eta el 7.5 Zo' PI cf1I / PERMIT FOR APPROVAL OF CONSTRUCTION FORA ��jIII s�� —, SINGLE FAMILY RESIDENCE ONLY el if 6,e ,E 6.5; 41 p CEJ SEPTIC. IE G,o L.P.(Ceoler) Z• ! O . �` 0 51998 '� `1,6 0� J' TANK - 3 _ C,� k.�- 0 .� �rL• DA 9% .SREr NO. `�-� C/Ean Sand ��Z OLp, c l — gro- a /�S F s APPROVED .aLIIPP r .1aef el r.9 u0 °S96\N • �/ 95e•c-gonu.! hegh f AN� 3g9 .14' //it-b •c. •MS - {• G Al �� a .. .., „ FOR MAXIMUM OF 8 ADlN6 PLAN NIO�F DWEL�tN ., H • THREE YEARS FROM DATE OF•APPROVAL . esti O. O EXPIRES i0 �k ��3' 'J F © EXGAVATtON tNSPEC T IAN R lliRED Cts' �� FOR SANITARY SYSTE DY HEALTH DEPARNENT N/��F S t-A •.�3.5°� E• _ ��Q q 'fO FGA ( N• "' 24 ( ' ;,, /6i �. !' ANS O ,,ACAS ti is'-- �� g cusp E d -cc) L o� t enve{oPe ° .v os f ramp p c� r wal �� or r 1-f•'' ri building w _vim*- S o .E �--"'r ,°1� i� ,`'z� A, Y build• v - v.a �E .� t��" ��.- �` ;. N� o 2� 4V` $'t - / L ° /L• / C.4 ° y`S A 20 ,ro✓" C'"°� 3, ��� EL EVA TIONS ARE REFERENCED TO N.G.V.D. z P m°p ��� , •tom 4t /o b M ' prop oSea- Contour 9Z0 t 1R1� .fPtt ° N • 0 D. / W0 d9:1 ' \ 45°'0po Z , �� - a, {o eel % I am familiar with the STANDARDS FOR APPROVAL o o09 (_ `ung en \ AND CONSTRUCTION OF SUBSURFACE SEWAGE 50' e� v I build DISPOSAL SYSTEMS FOR, SINGLE FAMILY RESIDENCES o5 P and will abide by lire conditions set forth therein and on the Pr � ' ` permit to cons/-ucl. pp Z P z-k o TREET tit '!`NG S . A '5°r W VCA GA eel 3 Boriny K 0 0_ S. 7°�{5FANO OF fop. f ! The locations of wells and cesspools 5 N/°IF /oa„�y O8 • shown hereon are from field observations \ 2; r. water el 1.9 ------ 9 and or from data obtained from others. ''�3.2• :::: ...-----\\ \ . SURVEY OF PROPERTY g we, y AREA = 1 4 45 acres AT ORIENT pFNEW TOWN OF SOUTHOLD c-a. a t' MEr�0 4P. ANY AL TERA FIgIV OR ADDITION TO THIS SURVEY IS A VIOLA TION � ��` F OF 4. SECTION SECTIONOF O9-�I, 2. CERT 3 SUFFOLK COUNTY, N. Y. ' ' HE• REON ARE VALID FOR THIS MAP AND COPES THEREOF ONLY Y F 1000 _ 27 - 03 _ 7 8 y' 5/r 1i'7 N. .S. LIC. NO. 49618 SAID MAP OR COPIES BEAR THEIMPRESSED SEAL OF THE SURVEYORP , lI k, , ��,��- WHO�SE SIGNATURE APPEARS HEREOM SCALE' 1�� = 50 a "PI. '" P.C. v f�EC•�N/C S•�' � YF�•� ADDITIONALLY TO COMPLY WITH SAID LAW THE TERM ALTERED BY- JUNE 2 1998 MUST • �T USED BY OR'S ALL TERMS SUCH AS ACTED AND ..J 04-y $ 19 9 6 (rev/saa` h Se /o c ) P. ° ..)13?' ' : 'BROUGHT-TO-DATE'ARE NOT D COMPLIANCE WITH THE LAW. \ I I.:.?,-:0 B�'•� ik. - STREET • -_.'THOL,, N.Y. 1/97/ 98 - 215 i